The holder whose full name is JOHNSON, WALLACE DILLON,come from BECKLEY WV,hold the Physician license(NO.01024504A) which status is Expired Non-Renewable.
Name | JOHNSON, WALLACE DILLON |
---|---|
License Number | 01024504A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | BECKLEY |
State | WV |